五行健骨操联合社区综合干预对原发性骨质疏松疼痛症的疗效研究  

Study on the Curative Effects of Five Elements of Aerobics Exercise Combined With Community Comprehensive Interventions on Primary Osteoporosis Pain

作　　者：刘薇 韩坤 杨滢 邵静[1] 王生宝[1] 包莉[1] LIU Wei;HAN Kun;YANG Ying(Shanggang Street Community Health Service Center,Pudong New District,Shanghai,200126,China)

机构地区：[1]上海市浦东新区上钢社区卫生服务中心,上海200126 [2]上海市龙华医院奉贤区分院上海市奉贤区中医医院,上海201400

出　　处：《中国初级卫生保健》2021年第2期88-91,共4页Chinese Primary Health Care

基　　金：上海市浦东新区卫生系统优秀社区适宜人才培养项目(PWRs2017-23);上海市浦东新区卫生系统社区学科带头人培养计划(PWRsd2019-08);上海市“医苑新星”青年医学人才培养资助计划;上海市中医药特色示范社区卫生服务中心(2018—2020年)建设项目[ZY(2018—2020)-JCTS-1002-L04]。

摘　　要：目的:探讨五行健骨操联合社区综合干预对原发性骨质疏松疼痛症的临床应用效果。方法:选取2018年1月—2019年6月期间,上海市浦东新区上钢社区卫生服务中心收治的原发性骨质疏松疼痛症患者80例。依据随机分配原则分为对照组和实验组,每组各40例。两组均给予基础治疗:钙尔奇600 mg口服,1片/日;福善美70 mg晨起空腹口服,1片/周。对照组结合微波治疗仪治疗;实验组结合给予五行健骨操联合社区综合干预管理。治疗时长均为6个月。观察两组患者治疗前、治疗后的对比及变化情况。结果:实验组在治疗6个月时,疼痛视觉模拟评分法(VAS)评分明显低于对照组,差异有统计学意义(P<0.05);实验组治疗6个月后简明健康状况量表(SF-36)明显高于对照组,差异有统计学意义(P<0.05)。结论:五行健骨操联合社区综合干预管理原发性骨质疏松疼痛症,可以有效缓解患者的疼痛症状,改善患者的生活质量,值得临床上进一步推广。OBJECTIVE To explore the clinical effects of the comprehensive community interventions of Five Elements of Aerobics Exercise combined on Primary Osteoporosis Pain. METHODS Eighty patients with primary osteoporosis pain who were admitted to target hospital from January 2018 to June 2019 were selected. According to the principle of random allocation,they were divided into the combination group and the control group with 40 cases in each group. Both groups were given basic treatment: Caltrate 600 mg orally one tablet per day and Fosamax 70 mg orally once a week morning fasting,one tablet per time. Control group: microwave treatment. Combination group: Five Elements of Aerobics Exercise combined with community comprehensive intervention management. The course of treatment was 6 months. The comparison and changes between the two groups before and after treatment were observed. RESULTS Compared with the control group,the score of visual analogue scoring(VAS)in the combination group at 6 months after treatment was significantly lower,and the difference was statistically significant(P<0.05);compared with the control group,the bone mineral density score and health status survey summary table in the combination group at 6 months after treatment was significantly higher,and the difference was statistically significant(P<0.05). CONCLUSION Combined with community comprehensive intervention to manage Primary Osteoporosis Pain,Five Elements of Aerobics Exercise can effectively relieve the pain symptoms,improve the quality of life and the therapeutic effect,which is worthy of further clinical promotion.

关 键 词：五行健骨操 原发性骨质疏松疼痛症 中西医结合 健康宣教 综合干预 

分 类 号：R247[医药卫生—中医临床基础]